Dentin hypersensitivity: a challenge in dental practice
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Abstract
Dentine hypersensitivity is defined as short, sharp pain from exposed dentin in reaction to thermal, evaporative, tactile, osmotic, or chemical stimuli. This condition is associated with non-carious cervical lesions (erosion, abrasion and abfraction), gingival recessions, periodontal disease, among other dental problems. Due to its multifactorial nature, the diagnosis of dentin hypersensitivity is often difficult and confusing for the dental surgeon. There is no single strategy that can solve this condition in all patients and it is the responsibility of the dental surgeon to know its characteristics in order to propose an effective treatment plan for patients. Therefore, this review aims to show the main characteristics of dentin hypersensitivity, as well as the challenges associated with clinical management, for understanding and mastery in clinical practice.
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References
Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. Journal of clinical periodontology. 1997;24(11):808-13. DOI: https://doi.org/10.1111/j.1600-051X.1997.tb01194.x
Splieth CH, Tachou A. Epidemiology of dentin hypersensitivity. Clinical oral investigations. 2013;17 Suppl 1:S3-8. DOI: https://doi.org/10.1007/s00784-012-0889-8
Favaro Zeola L, Soares PV, Cunha-Cruz J. Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. Journal of dentistry. 2019;81:1-6. DOI: https://doi.org/10.1016/j.jdent.2018.12.015
Orchardson R, Gillam DG. Managing dentin hypersensitivity. Journal of the American Dental Association. 2006;137(7):990-8; quiz 1028-9. DOI: https://doi.org/10.14219/jada.archive.2006.0321
Gillam DG, Orchardson R. Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles. Endodontic Topics. 2006;13(1):13-33. DOI: https://doi.org/10.1111/j.1601-1546.2006.00209.x
Cunha-Cruz J, Stout JR, Heaton LJ, Wataha JC, Northwest P. Dentin hypersensitivity and oxalates: a systematic review. Journal of dental research. 2011;90(3):304-10. DOI: https://doi.org/10.1177/0022034510389179
Gibson B, Boiko OV, Baker S, Robinson PG, Barlow A, Player T, et al. The impact of dentine sensitivity: personal and fuctional aspects. Soc Sci Dent. 2010;1:11-20.
Gillam DG. Current diagnosis of dentin hypersensitivity in the dental office: an overview. Clinical oral investigations. 2013;17 Suppl 1:S21-9. DOI: https://doi.org/10.1007/s00784-012-0911-1
Gillam D, Chesters R, Attrill D, Brunton P, Slater M, Strand P, et al. Dentine hypersensitivity--guidelines for the management of a common oral health problem. Dental update. 2013;40(7):514-6, 8-20, 23-4. DOI: https://doi.org/10.12968/denu.2013.40.7.514
Canadian Advisory Board on Dentin H. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. Journal. 2003;69(4):221-6.
Idon PI, Esan TA, Bamise CT. Efficacy of Three In-Office Dentin Hypersensitivity Treatments. Oral health & preventive dentistry. 2017;15(3):207-14.
Brannstrom M. Dentin sensitivity and aspiration of odontoblasts. Journal of the American Dental Association. 1963;66:366-70. DOI: https://doi.org/10.14219/jada.archive.1963.0104
Narhi M, Kontturi-Narhi V, Hirvonen T, Ngassapa D. Neurophysiological mechanisms of dentin hypersensitivity. Proceedings of the Finnish Dental Society Suomen Hammaslaakariseuran toimituksia. 1992;88 Suppl 1:15-22.
Gillam DG. Management of fentin hypersensitivity. Curr Oral Health Resp. 2015;2:87-94. DOI: https://doi.org/10.1007/s40496-015-0047-x
Brannstrom M, Astrom A. The hydrodynamics of the dentine; its possible relationship to dentinal pain. International dental journal. 1972;22(2):219-27.
Chabanski MB, Gillam DG. Aetiology, prevalence and clinical features of cervical dentine sensitivity. Journal of oral rehabilitation. 1997;24(1):15-9. DOI: https://doi.org/10.1046/j.1365-2842.1997.00471.x
West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D. Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. Journal of dentistry. 2013;41(10):841-51. DOI: https://doi.org/10.1016/j.jdent.2013.07.017
Bartlett DW, Lussi A, West NX, Bouchard P, Sanz M, Bourgeois D. Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. Journal of dentistry. 2013;41(11):1007-13. DOI: https://doi.org/10.1016/j.jdent.2013.08.018
Olley RC, Moazzez R, Bartlett D. The relationship between incisal/occlusal wear, dentine hypersensitivity and time after the last acid exposure in vivo. Journal of dentistry. 2015;43(2):248-52. DOI: https://doi.org/10.1016/j.jdent.2014.11.002
Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management. British dental journal. 1999;187(11):606-11; discussion 3. DOI: https://doi.org/10.1038/sj.bdj.4800345
Sanz M, Addy M. Group D summary. Journal of clinical periodontology. 2002;29(3):195-6. DOI: https://doi.org/10.1034/j.1600-051X.29.s3.19.x
Addy M, Urquhart E. Dentine hypersensitivity: its prevalence, aetiology and clinical management. Dental update. 1992;19(10):407-8, 10-2.
Escalante-Otarola WG, Castro-Nunez GM, Jordao-Basso KCF, Guimaraes BM, Palma-Dibb RG, Kuga MC. Evaluation of dentin desensitization protocols on the dentinal surface and their effects on the dentin bond interface. Journal of dentistry. 2018;75:98-104. DOI: https://doi.org/10.1016/j.jdent.2018.06.002
Alencar CM, de Paula BFL, Ortiz MIG, Magno MB, Silva CM, Maia LC. Clinical efficacy of nano-hydroxyapatite in dentin hypersensitivity: A systematic review and meta-analysis. Journal of dentistry. 2019;82:11-21. DOI: https://doi.org/10.1016/j.jdent.2018.12.014
Escalante-Otárola W, Castro-Núñez G, Jordao-Basso KCF, Lima SL, Kuga MC, Bandeca MC. Treatment Protocol for Dentin Hypersensitivity. World Journal of Dentistry. 2017;8(1):1-4. DOI: https://doi.org/10.5005/jp-journals-10015-1401